Mortgage Application - Mid-Hudson Valley Federal Credit Union

Click here for printable (pdf) version of Mortgage Pre-Qualification Application

Mortgage Pre-Qualification Application
Amount Requested*
Primary Applicant Information
Last Name*		First Name*
Mailing Address*		City*
State*		Zip*
Social Security Number*		Date of Birth* (Ex. January 1, 1960, enter as 01011960)
Home Phone*		Member Number (if applicable)
Employment & Income Information
Employer Name*		Employer Address*
Work Phone*		Years there*
Annual Gross Income*		Additional Annual Income
Source of Additional Income

Funds Available for Downpayment and Closing Costs
Total Savings Available*		Assets in retirement account:
Gifts from Relatives		(Only if will be liquidated for home purchase)
Residency
Do You Rent or Own a home? Rent Own
How long at current residence		Current rent payment
Current Mortgage Payment
Selling current home? Yes No
Current Loans
Credit Cards		Car Loans(Lease)
Other Loans		Student Loan
Specify
*Required fields.
Co-Applicant Information
Last Name		First Name
Mailing Address		City
State		Zip
Social Security Number		Date of Birth
Home Phone
Co-Applicant Employment & Income Information
Employer Name		Employer Address
Years there		Work Phone
Annual Gross Income		Additional Annual Income
Source of Additional Income
Co-Applicant Funds Available for Downpayment and Closing Costs
Total Savings Available		Assets in retirement account:
Gifts from Relatives
Co-Applicant Residency
Do You Rent or Own a home? Rent Own
How long at current residence		Current rent payment
Current Mortgage Payment
Selling current home? Yes No
Co-Applicant Current Loans
Credit Cards		Car Loans(Lease)
Student Loan		Other Loans
Specify
Comments
Please include any additional information or comments here: E-mail Address


By submitting this application, I/we authorize Mid-Hudson Valley Federal Credit Union to obtain my/our credit report(s).